Early diagnosis of pulmonary embolism after thoracic injury or surgery
- VernacularTitle:胸部创伤或开胸术后急性肺栓塞的早期诊断
- Author:
Hongxing LI
;
Qingyong ZENG
;
Weiqiang PENG
;
Yukong HUANG
- Publication Type:Journal Article
- Keywords:
Pulmonary tembolism;
Surgical procedures;
operative;
Tomography;
sprial computed;
Angiocardiograhy;
Early diagnosis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(5):736-737
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate experience for early diagnosis of pulmonary tembolism alter thoracic injury or surgery. Methods The 9 patients after thoracic injury or surgery with highly-suspected pulmonary embolism underwent chest radiograph of X-ray, helical CT pulmonary angiography, electrocardiogram, radionuclide pulmonary ventilation perfusion imaging, D dimer assay and arterial blood gas analysis respectively and the clinic data and results were analyzed. Results All patients were diagnosed and recovered after 8 patients received thrombolytic therapy and another patient received anticoagulant therapy. Conclusion If there were some symptoms such as suddenly severe dyspnea, cyanosis, with/without chest pains and the feeling of fear to death unable to be explained by original disease on those patients alter thoracic injury or surgery, it's very important for pulmonary embolism to be recognized, and early diagnosis and quickly efficient treatment is the key to prevent death. Helical CT pulmonary angiography is a safe, cheap, noninvasive and effective method for the diagnosis of pulmonary embolism with high sensitivity and specificity.
